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The Age-Related Growth of Mastoid Air Cells in Infancy: A Retrospective Cross-Sectional Study
Chenyu Chen, Xiying Huang1, Zhen Chen
1Fujian Medical University, Fuzhou, China.
Insights
Mastoid pneumatization volume in infants aged 5 to 12 months does not significantly change with age. This study found no significant differences in mastoid air cell volume based on age, sex, or ear laterality.
Area of Science:
- Pediatric Otolaryngology
- Radiology
- Human Anatomy
Background:
- Mastoid pneumatization is crucial for middle ear development and function.
- Understanding normal mastoid air cell volume growth in early infancy is important for identifying potential otologic disease risk factors.
Purpose of the Study:
- To investigate the normal growth and development of mastoid pneumatization volume in infants aged 5 to 12 months.
- To establish normative data for pediatric otosurgeons.
Main Methods:
- Retrospective chart review of 94 infants (188 ears) aged 5 to 12 months without a history of middle ear disease.
- Three-dimensional volume reconstruction from high-resolution computed tomography (HRCT) images.
- Statistical analysis including one-way ANOVA and linear regression.
Main Results:
- Mastoid pneumatization volume was found to be independent of age in the 5 to 12-month age group (p > 0.05).
- No significant volume differences were observed between age groups, sexes, or between right and left ears.
Conclusions:
- Mastoid air cell volume does not significantly change between 5 and 12 months of age.
- This study provides the first 3D volume quantification of mastoid pneumatization in a large sample of early infancy.
- Further research is needed to understand air cell volume across different age groups and populations.
Objectives:
To investigate the normal growth and development of mastoid pneumatization volume from 5 to 12 months for pediatric otosurgeons.
Study Design:
Retrospective chart review.
Setting:
A tertiary referral center.
Patients:
This study evaluated age-dependent changes in mastoid air cell volume in 94 (188 ears) patients aged 5 to 12 months without a history of middle ear disease.
Main Outcome Measures:
Volume reconstruction was based on high-resolution computed tomography images using a three-dimensional reconstruction that is considered normal by radiologists. One-way analysis of variance and linear regression were used to determine the relationship between the volume and age in male and female subjects.
Results:
Forty-eight scans were from male and 46 from female patients. In the age group from 5 to 12 months, the mastoid pneumatization was independent of age ( p > 0.05). There were no significant volume differences found between the age groups. Neither male/female nor right/left significant differences were observed in relation to the algebraic data of the mastoid air cells volume ( p > 0.05).
Conclusions:
Based on this analytic study, we are the first to use three-dimensional volume quantification based on high-resolution computed tomography in such large samples of early infancy. Because of its potential role as a susceptibility factor for otitis media and other otologic problems, it is important to describe the growth and development of mastoid pneumatization. More extensive clinical studies are needed to give a comprehensive insight into the air cell volume across age groups in different populations.
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